Individual
REBECCA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 MILLS PL, NEW LEBANON, OH 45345-1430
(937) 687-1311
Mailing address
1251 CHANNINGWAY DR APT B, FAIRBORN, OH 45324-8713
(937) 750-3618
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011498
OH
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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